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WSVA8-0026
SOFT TISSUE SURGERY
CHOLECYSTODUODENOSTOMY IN COMMON BILE DUCT LEAKAGE AND BILE PERITONITIS IN 3-MONTH- OLD SIBERIAN
B. Hakhen1
1Kasetsart University, Veterinary Teaching Hospital, Bangkok, Thailand
INTRODUCTION
Bile peritonitis is a severe, nonseptic inflammatory response caused by leakage of bile, may occur with traumatic rupture of the extrahepatic biliary tree or secondary to necrotizing cholecystitis or chronic obstruction. Cholecystoduodenostomy is the one of procedures used to repair common bile duct injury.
OBJECTIVES
To identify and repair the leakage site of biliary tree and divert bile flow.
METHODS
A 3-month-old, Siberian was diagnosed with bile peritonitis that may have been caused by extrahepatic biliary tree injury which presenting ascites and anorexia. Blood profile and ultrasonography were assessed. Abdominal paracentesis and fluid analysis were performed. The peritoneal effusion was green colour and total bilirubin level was higher than in serum.
An abdominal exploratory was performed on the patient which found adhesion, fibrosis and a leakage site at common bile duct. Leakage site was sutured, cholecystoduodenostomy and abdominal drainage was performed.
RESULTS
The patient was admitted for fluid therapy and ABO therapy. Peritonitis, bile leakage and dehiscene were monitored by colour and turbidity of the peritoneal fluid. The patient had hypoalbuminemia after sugery, was fed a low fat diet, did not show leakage or dehiscence and was discharged 10 days after surgery.
CONCLUSIONS
Bile peritonitis in a young dog is likely caused by trauma. Bile flow diversion is recommended when the common bile duct injury is severe and distal to the entrance of
the hepatic duct. In this case report, It was small and the leakage site was adhesion and fibrosis and consequently cholecystoduodenostomy was performed. Ascending cholangiohepatitis may occur in the long term.
Your Singapore, the Tropical Garden City
WSVA8-0106
SOFT TISSUE SURGERY
URETERONEPHRECTOMY IN DOG WITH NEPHROLITH AND URETEROLITH
S. Jung Hyeok1, K. Ho Young1, P. Dong Hee1, S. Hyun Suk1, H. Cheol Kyu1, P. Zheng Lim1, L. Ki Chang2, K. Nam Soo1, H. So1
1Chonbuk National University, surgery, Iksan, Republic of Korea 2Chonbuk National University, radiology, Iksan, Republic of Korea
INTRODUCTION
Ureteronephrectomy has been performed in irreparable trauma, persistent infection, obstructive calculi with persistent hydronephrosis and etc.. Our case has severe renal failure due to bilateral nephrolithiasis, unilateral ureterolith. So we decide to perform ureteronephrectomy.
OBJECTIVES
To evaluate the good prognosis after ureteronephrectomy in dog nephrolith and ureterolith.
METHODS
A 8-years-old intact female shih tzu was referred to the Chonbuk Animal Medical Center with histories of vomiting, anorexia and lethargy.
In laboratory examination, ALP, GGT, TBIL, Cholesterol, BUN and CRP were increased, and ALB was decreased. In ultrasonography, left & right nephrolith, right kidney pelvic dilation, hydronephrosis, right ureterolith, right ureter dilation and gallbladder sludge was diagonsed.
Ureteronephrectomy was decided based on the results and performed general procedure at the right kidney and ureter.
After surgery, patient was treated with antibiotics, antiemetic drugs, analgesic drug and Peripheral Parenteral Nutrition.
RESULTS
After surgery, patient condition was improved remarkably. Following the decreased inflammatory level and returned to normal range hematologic figures, vomiting and lethargy was reduced. Voluntary ingestion had become possible. The patient was discharge one week after surgery.
CONCLUSIONS
From this case, Ureteronephrectomy in patient with severe renal failure due to bilateral nephrolithiasis and ureterolith was good option.
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